MICU Base Woodbury & Lifenet Operations

Question 1

What is Lifenet?

Where are they located?

Answer 1

• Lifenet monitor and special phone used for receiving EKG’s
• is a touch screen computer and can accidentally be turned off but should never be
• sits behind the charge nurse and there is a special phone next to the monitor.
• There is also one in Bridgeton

Question 2

All calls on the Lifenet phone are what?

Answer 2

recorded

All MICU calls must be recorded per NJ MICU regulations

Question 3

How do you answer the Lifenet phone?

Answer 3

When the phone rings, answer it like any other phone and then call the receiving ED from the same phone

Question 4

What do you do if the time and date on the lifenet phone are wrong?

Answer 4

call the IT and the MICU supervisor on duty at 856-384-6662

Question 5

What do you do if the Lifenet phone call must be forwarded to the physician?
How do you do that?

Answer 5

If the call must be forwarded to the physicians phone, the base nurse must use the CONF button to send it.
Press the CONF soft key and do not hang up, the call will not be recorded if it is just transferred.

Question 6

What does the nurse do after transferring the call to the physician?

Answer 6

The base nurse then listens in to the call between the physician and the crew so that the nurse will have the information to notify the receiving hospital

Question 7

How do you know when the Lifenet monitor has recieved an EKG?

Answer 7

The lifenet monitor should alert when an ECG is received

Question 8

What do you do if an EKG is sent to the Lifenet monitor?

Answer 8

Once the ECG is received, make a selection where to forward it to

• it can be forwarded to multiple areas, ie an ED and a cath lab
• it does not send to Christiana at this time.

Question 9

Priority calls - the MICU uses a standard set of codes to indicate the severity of the patient. What are they?

Answer 9

Priority 1 = immediate life threat 
Priority 2 = requires ALS
Priority 3 = may require ALS 
Priority 4 =  does not require ALS 
Priority 5 = field pronouncement

Question 10

What is a priority 1?

Answer 10

immediate life threat

Question 11

What is a priority 2?

Answer 11

requires ALS

Question 12

What is a priority 3?

Answer 12

may require ALS

Question 13

What is a priority 4?

Answer 13

does not require ALS

Question 14

What is a priority 5?

Answer 14

field pronouncement

Question 15

What do you do if a priority is not provided?

Answer 15

request one

Question 16

The ED physician must provide direct medical command to the crew and may do so through the nurse (relay) unless when?

Answer 16

when it’s a priority 1 call

Question 17

A base station report sheet is used (slide saved from healthstream and in Inspira file) and may be discarded in __ hours.

Answer 17

24

Question 18

A physician MUST be on base when…

4 times

Answer 18

Priority 1 calls, cardiac arrest, RSI, multiple trauma, critical patients
Priority 5 calls - pronouncements.
Refusal after treatments ie; diabetic who wakes up after D 50, non suicidal OD after narcan and refuses transport
When requested by the paramedic

Question 19

If you have any questions please contact

Answer 19

John Feltes at the MICU office

FeltesJ@ihn.org

Question 20

If you need immediate assistance contact

Answer 20

the on duty MICU supervisor at 856-384-6662